NPIMap

Organization Active NPI

Foot Doctors PSC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1245390319
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00181 Issued in KY
Legal business name
FOOT DOCTORS PSC
Practice address
142 Chenoweth LN
Louisville, KY 40207-2651
Phone
(502) 897-1616
Fax
(502) 897-7412
NPI assigned
Dec 11, 2006
Last updated
Jan 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy C Ford, DPMNPI 1801849435
Title
President
Phone
(502) 897-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00181 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 00181 KY Primary

Addresses

Primary practice location

142 Chenoweth LN
Louisville, KY 40207-2651

Mailing address

142 Chenoweth LN
Louisville, KY 40207-2651
Phone (502) 897-1616

Other identifiers 2

IdentifierTypeStateIssuer
000000233615OtherKYANTHEM
CK2275OtherRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1025 Sanibel Way
Lagrange, KY 40031
Phone (502) 222-3380

142 Chenoweth Ln
Louisville, KY 40207
Phone (502) 897-1616

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1245390319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072651",
            "telephone_number": "502-897-1616",
            "fax_number": "502-897-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072651",
            "telephone_number": "502-897-1616",
            "fax_number": "502-897-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT DOCTORS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-897-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "00181",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000233615",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CK2275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.